Claim management is a challenge for many eyecare practices. Whether you deal with high turnover in the billing role, a high volume of claims, or a lack of transparency into the process and results of your claim filing, these are all challenges that can be hurting your bottom line. Today we want to share with you four things your practice can be doing that will help you decrease insurance and billing errors so you can start getting back the money you’ve earned on reimbursements.

1. Use a Clearinghouse for Claim Filing

A clearinghouse solution is the best way to keep all your claim filing info in one spot. They’ll also help you avoid duplicate data entry and time spent on the phone with payers. A clearinghouse gives you access to thousands of payers from one location, helps you check eligibility, and let’s you view status reports and ERA. It’s a one-stop-shop for your practice’s claim filing needs.

2. Pull Benefits Ahead of Time

One of the most important steps of the claim process, comes before the appointment even begins. It all starts will pulling benefits ahead of time and communicating them clearly. Having insurance info ahead of time can better prepare the OD and better educate the patient when they come into the office. Plus, having the info handy can help reduce common claim denials from the get-go. Some denials that you can avoid by pulling benefits ahead of time include payer doesn’t cover service, patient is uninsured, patient’s coverage has been terminated, and payer doesn’t support the frequency of service.

3. Monitor Your Reporting

Having access to your practice’s data can help you make better business decisions. Insurance reports specifically can help you earn more money faster from your claim reimbursements. Good reporting can help you identify common claim denial reasons so you can better avoid them in the future. On top of finding improvements in your claim processes it’s really great to be able to compare your practice’s performance over time and see how the changes you make can affect your reimbursement revenue over time.

4. Outsource to a Revenue Cycle Management Service

We mentioned at the start of this article that some of the common challenges for an eyecare practice are high turnover in the biller role, high claim volume, and a lack of transparency into the claims process. Outsourcing your insurance filing to a Revenue Cycle Management Service can help eliminate many of these challenges. You’ll get a team a of billing experts that handle the claim lifecycle for you, so you can get more reimbursements into your pockets, faster.